Development of the comprehensive inpatient transfer tool: initial reliability and validity.

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI:10.1097/MRR.0000000000000637
Clare C Bassile, Emma Harmon, Jennifer Lehman, Brittany Shinn, Nancy Ferreira, Ramneet Manrai, Iris Platt, Marykay A Pavol
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Abstract

A new patient transfer assessment scale for use in inpatient rehabilitation facilities (IRFs) is warranted to assess level of assistance, adaptations needed for success, and movement strategies. This study presents initial psychometric analyses for the Comprehensive Inpatient Transfer Tool (CITT). CITT items were developed through interdisciplinary team discussions. Interrater reliability was assessed between blinded pairs of raters administering the CITT for each subject on the same day. Intrarater reliability was assessed with one rater administering the CITT for each subject twice within the same day. Thirty-six subjects in an IRF completed the CITT four times during their rehabilitation stay; three times at admission and once at discharge. Intraclass correlations (mixed models) were used in reliability and minimal detectable change (MDC) analyses. Spearman correlations of CITT and CITT change scores with their respective Functional Independence Measure (FIM) and Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) transfer scores were performed for concurrent validity. Responsiveness was assessed using paired t-tests on change scores. Interrater and intrarater reliability ranged from 0.90 to 0.98. Correlations between the CITT and FIM/IRF-PAI ranged from 0.6 to 0.8. The MDC for CITT was 7.11 pts. Differences between admission and discharge CITT were significant (P < 0.001). The CITT, developed by an interdisciplinary team, addresses limitations of existing transfer measures utilized in IRFs. The CITT demonstrated excellent inter and intrarater reliability. Concurrent validity demonstrated modest agreement between existing transfer measures and the CITT. The CITT is a reliable, useful scale for evaluating transfer skills in patients admitted to an IRF.

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开发住院病人综合转院工具:初步可靠性和有效性。
住院康复机构(IRF)需要一种新的病人转运评估量表来评估协助程度、成功转运所需的适应性以及移动策略。本研究对住院病人转运综合工具(CITT)进行了初步心理计量分析。CITT 项目是通过跨学科团队讨论开发的。在同一天对每个受试者进行 CITT 测评时,由一对双盲测评者进行互测信度评估。在同一天内,由一名评分员对每个受试者进行两次 CITT 评分,以评估评分员之间的可靠性。在 IRF 中的 36 名受试者在康复住院期间完成了四次 CITT,其中三次在入院时完成,一次在出院时完成。在可靠性和最小可检测变化(MDC)分析中使用了类内相关性(混合模型)。CITT和CITT变化得分与各自的功能独立性测量(FIM)和住院患者康复机构-患者评估工具(IRF-PAI)转移得分之间的斯皮尔曼相关性被用于同期有效性分析。采用配对 t 检验对变化分数进行反应性评估。内部和外部信度为 0.90 至 0.98。CITT 与 FIM/IRF-PAI 之间的相关性为 0.6 至 0.8。CITT 的 MDC 为 7.11 pts。入院和出院 CITT 之间的差异显著(P
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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